Health Information Exchange (HIE)
See the following -
The Quest For Population Health Management
Vendors large and small seek to prove they have the right tools for proactively managing patient health, coordinating care across providers, and supporting accountable-care models. Read More »
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The Roles I Play
As 2014 begins, I marvel at the evolution of the CIO role from 1997 to 2014. Gone are the days when my role was to serve as technical expert, configuring web servers, optimizing data bases, or simplifying code. [...] Here are a few examples of the roles I play today from the past few weeks: Read More »
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The State Of HIE As 2012 Comes To A Close
Although medical professionals may have been using the phrase "health information exchange" for centuries, the health information sharing organizational arrangement used today was first mentioned in the popular media by the Canadian Press in 1977, according to Google's archives, when Canadian health officials agreed to set up an inter-provincial HIE for studying coronary bypass surgeries and occupational health trends. Read More »
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The Status of Health Information Exchange (HIE) Networks in the U.S.
Read about the latest status of HIE networks in the U.S., especially at the local level. The "2012 Report on Health Information Exchange" analyzes the latest results from the Annual Survey of Health Information Exchange (HIE) conducted by the eHealth Initiative (eHI) organization. It provides an overview of how HIE networks are supporting healthcare reform at a local, regional, and national level. Read More »
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The Strengths and Weaknesses of the HL7 FHIR Messaging Standard
It has been several years since we reviewed the progress of the HL7 FHIR standards adoption rate. Health Level Seven's (HL7) Fast Healthcare Interoperability Resources (FHIR) is an emerging standard that has rapidly captured the mind-share of the Health Information Technology (HIT) standards community. FHIR is a standard that enables healthcare data sharing between systems in a manner that is more easily implemented and more expressive than previous HL7 standards such as HL7 Version 2, 3 and Clinical Document Architecture (CDA). Regardless of the version of HL7 standard used, the purpose of these standards is to send clinical data in messages, whether to a party inside or outside your organization. HL7 devises flexible message formats so the receiver of the message can open it up, know who sent it and why, and break it down into understandable segments and data fields.
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The Value of EHR Interoperability that Money Can't Buy
There seems to be something missing in our national debate about health care and the use of health information technologies (IT) in this marketplace. Do we want a more 'open' healthy society, or a more closed system? What role should markets play in public health and medical sociology? How do we decide which EHR solutions to acquire? Should we be looking more closely at open source alternatives versus proprietary programs. Should money, quality of care, or some other non-market values determine what's best for the patient? This cuts to the heart of the debate. Consider the hospital that chooses to not pay an expensive proprietary EHR vendor for the enhanced code required by a doctor in order to get the latest real time knowledge for treating a patient's disease.
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The Year In HIE: Public, Private Sectors Prodded To Interoperability
From the start, 2013 brought some the most scrutiny ever devoted to the issue of interoperability, inside the world of healthcare and broadly in the public. Read More »
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This EHR Mess We’re In
Dr. Matthew Hahn blogs about the current state of today’s EHR’s and rightly points out many of the same reasons that I have identified in my previous posts...There are several other important concerns that have been left unanswered by our current Health IT offerings...The solution Dr. Hahn proposed is one that hinges on the hope that government will abandon MU (unlikely given this political climate), and create a whole new EHR development program based on a national competition and then for the government to subsidize the cost of that winner EHR for physicians to use...
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Ticking All The Boxes For A Health Care Upgrade At Strata Rx
What is needed for successful reform of the health care system? Here’s what we all know: that a data-rich health care future is coming our way. And what it will look like, in large outlines. Health care reformers have learned that no single practice will improve the system. All of the following, which were discussed at O’Reilly’s recent Strata Rx conference, must fall in place. Read More »
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Time For Hard HITECH Reboot
...The Government Accountability Office reports that there is a lack of strategy, prioritized actions, and milestones in HITECH. HIT interoperability is recognized as being limited at multiple levels. And resultantly, the benefits of HIT that depend on a combination of adoption, interoperability, and health information exchange as table stakes are elusive...
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Tolven-The “Unified Platform” that Delivers All-in-One EHR/PHR/HIE
It is hard to miss the fact that the healthcare industry in the United States and other countries are finding that their existing health IT solutions are not interoperable and are simply unable to distribute, or even acquire, critical patient information. There are two fundamental approaches to fixing this problem. First try to bolt on capabilities that will create kludge systems that have partial interoperability capabilities, or start from scratch with a fully unified platform that has all the interoperability capabilities built-in from the ground up. That would be the Tolven Platform, and that is what this article examines. Read More »
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Top 5 Government Health IT Stories Of The Summer
Call it the season of interoperability. That was the biggest topic of the summer among Government Health IT readers...
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Two Articles About Openness For Healthcare IT
EHI have reported the openGPSoC meeting we held on Saturday - Funding needed for openGPSoC. Read More »
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U.S. Department of Defense Selects Mirth to Power Health Information Exchange Initiatives
Mirth Connect to help power health information exchange initiatives that enable medical information to follow active duty and retired military personnel throughout their lives Read More »
UC Davis Offers Guide To Health Information Exchange Standards
The UC Davis Health System has system has released the first edition of its free buyers’ guide to health information exchange. Read More »
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